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Accurate fracture diagnosis, advanced imaging, and personalized care await you at Next Journey Orthopaedics. Our compassionate experts guide you every step toward recovery. Call 571-425-5393 today—your healing journey begins here. Diagnosis of Fractures At Next Journey Orthopaedics, we understand that experiencing a fracture can be overwhelming and filled with uncertainty. Our goal is to provide compassionate, expert care to help you feel informed and supported every step of the way. Diagnosing a fracture accurately is the first step in your journey to recovery, and our team uses a combination of thorough physical examinations and advanced imaging techniques to ensure the best possible care. Physical Examination When you visit us with a suspected fracture, our experienced orthopedic specialists will begin with a comprehensive physical examination. We take the time to listen to your concerns, understand your symptoms, and gently assess the injured area. During the examination, we will look for: Pain and Tenderness: Identifying areas that may indicate a break. Swelling and Bruising: Signs that can help us locate the injury and assess its severity. Deformity: Checking for any visible changes in the shape of the bone. Range of Motion: Carefully evaluating how well you can move the affected area without causing discomfort. We know that being examined can sometimes be uncomfortable, but rest assured, our compassionate team will prioritize your comfort and guide you through the process with patience and care. Imaging Techniques While a physical exam provides valuable insights, imaging is essential to confirm a fracture and determine the most effective treatment plan. Our practice offers state-of-the-art imaging technology to give us a clear picture of your injury. X-rays: The First Step in Diagnosis X-rays are often the first and most commonly used tool to diagnose a fracture. They provide a detailed image of your bones and help us determine: If a fracture is present. The type of fracture (such as a hairline crack or a more complex break). Whether the bones are properly aligned or require intervention. The process is quick and painless. Our caring team will ensure you are positioned comfortably, and we’ll explain each step so you know exactly what to expect. CT Scans: A Closer Look at Complex Fractures Sometimes, fractures can be more complex or located in areas that require a closer look. A CT scan (computed tomography) provides a more detailed, cross-sectional view of your bones and surrounding structures. This advanced imaging helps us: Detect fractures that may not be visible on standard X-rays. Assess the extent of the injury with 3D images for better treatment planning. Evaluate fractures near joints or areas with complex anatomy. If a CT scan is recommended, our team will guide you through the process, making sure you're comfortable and informed every step of the way. MRI Scans: Understanding Soft Tissue Involvement In cases where more information about soft tissues (such as ligaments, muscles, and cartilage) is needed, an MRI scan (magnetic resonance imaging) may be recommended. Unlike X-rays and CT scans, MRI uses magnetic fields to create detailed images of both bones and soft tissues, helping us: Identify injuries that may accompany a fracture, such as ligament or tendon damage. Assess stress fractures that may not show up on an X-ray. Plan comprehensive treatment for optimal healing. We understand that MRIs can feel intimidating, but our team will be by your side to ensure a smooth and reassuring experience. Compassionate Care You Can Trust At Next Journey Orthopaedics, we are committed to providing you with the highest quality care in a warm and welcoming environment. Whether you're here for an initial diagnosis or seeking a second opinion, our team is here to support you, answer your questions, and guide you toward healing with confidence. If you have any concerns about your symptoms or need guidance on the next steps, please don’t hesitate to contact us at 571-425-5393 or schedule an appointment online. Your journey to healing starts here.

Next Journey Orthopaedics offers personalized fracture care with expert trauma specialists, compassionate support, and seamless coordination—empowering your recovery every step of the way PRICE Education Heat Therapy Personalized Care When To See An Specialist Prevention Tips Call to Action FAQs Treat Injuries Effectively with PRICE: Prevention, Rest, Ice, Compression, Elevation, and Heat Healing Made Simple with Expert Guidance Injuries can be challenging, but with the right care and approach, recovery becomes smoother. At Next Journey Orthopaedics, we focus on proven treatment methods like PRICE—Prevention, Rest, Ice, Compression, Elevation, and Heat—to ensure effective healing and long-term wellness. Whether you’re dealing with a sprain, strain, or another injury, our patient-first approach combines expertise with compassionate care. What Is PRICE and Why Is It Effective? PRICE is a simple yet highly effective method for managing and treating injuries, including sprains, strains, and minor joint injuries. Here's what it entails: Prevention: Avoid further injury by using protective gear, warming up before activities, and maintaining proper technique. Rest: Allow the injured area to heal by minimizing movement and avoiding strain. Ice: Reduce swelling and pain with ice packs for 15–20 minutes every few hours. Compression: Support the injured area with an elastic bandage to minimize swelling and provide stability. Elevation: Keep the injured area elevated above heart level to improve blood flow and reduce swelling. Heat: After the swelling subsides, use heat therapy to relax muscles and promote circulation for faster healing. Heat Therapy Heat therapy is most effective during later stages of recovery, helping to improve circulation and relax stiff muscles. Use a heating pad or warm towel for 15-20 minutes, but avoid direct application to injuries with active swelling. Personalized Care At Next Journey Orthopaedics, we understand that no two injuries are the same. That’s why we tailor every treatment plan to your specific needs. Our team of specialists works closely with you to create a recovery plan that includes: Customized PRICE protocols for your injury. Guidance on transitioning from ice to heat therapy. Exercises to restore strength and flexibility. Lifestyle recommendations to prevent future injuries. When to See an Orthopaedic Specialist While PRICE is highly effective for many injuries, some conditions require professional care. Contact Next Journey Orthopaedics if you experience: Severe pain or swelling that doesn’t improve with PRICE. Difficulty moving or bearing weight on the injured area. Signs of infection, such as redness or warmth around the injury. Our team will assess your injury and recommend advanced treatments, if needed, including imaging, physical therapy, or minimally invasive procedures. Empowering you with Injury Prevention Tips Prevention is the key to staying active and injury-free. Here are some tips from our experts: Warm up and stretch before physical activities. Use proper footwear and protective gear. Avoid overtraining and allow time for recovery. Focus on strength and balance exercises to reduce injury risk. Take the First Step Toward Recovery Today At Next Journey Orthopaedics, we’re here to support your journey to recovery and beyond. Schedule an appointment with our expert team to receive personalized care and guidance. Call us at 571-416-8244 or visit nextjourneyortho.com to learn more about PRICE and other injury treatments. Schedule your Appointment Today FAQs How long should I use ice after an injury? You should use ice for the first 24 to 72 hours after an injury to reduce swelling and pain. Apply an ice pack for 15–20 minutes every 2–3 hours, ensuring there is a barrier (like a towel) between the ice and your skin to prevent frostbite. Once the swelling subsides, you can switch to heat therapy to relax muscles and improve circulation When is it safe to switch from ice to heat? It’s safe to switch to heat therapy after the acute swelling has gone down, usually 48–72 hours after the injury. Heat therapy is ideal for loosening stiff muscles, improving circulation, and promoting healing in the later stages of recovery. However, if there’s still visible swelling or inflammation, stick to ice. Can I use PRICE for chronic injuries? Yes, parts of PRICE, like heat, rest, and compression, can be used for chronic injuries. Heat therapy can help with stiffness and muscle relaxation, while rest and compression may support healing. However, chronic injuries often require additional treatment like physical therapy, and you should consult a specialist for a personalized recovery plan.

Discover comprehensive care at Select Physical Therapy, serving Northern Virginia with centralized scheduling at 855-345-6300 or via email at SelectUS@selectmedical.com. We accept a wide range of insurances, including Aetna, Cigna, and United Healthcare. Visit our locations in Arlington, Fairfax, Alexandria, and more for expert therapy services tailored to your needs. Your recovery starts here! Select Physical Therapy Centralized Scheduling: SelectUS@selectmedical.com | P:855.345.6300 F: 717.635.4877 Insurances Accepted A Aetna Aetna workers comp access, LLC Align networks, Inc Anthem Blue Cross Blue Shield Anthem Healthkeepers- Specific Centers Only Assurant Health B Beech Street C Carefirst BCBS Care IQ Cigna Coastal Comp Health Coastal Management Comp Management Compservices, Inc Corvel Corporation F Farmers Insurance Group Fidelity Benefits Administrators H Health Payors Organization Health Smart Preferred Heartland Therapy Provider Network Humana I Integrated Health Plan Intergroup Services Corporation Interplan J John Hopkins Healthcare K Key Health L Liberty Mutual M MAMSI Mailhandlers Managed Physical Network (Specific sites only) Med-Eval Medicaid (accepted at various centers, call nearest center to verify) Medicare Medical Mgmt Claims Medrisk Modern Medical, Inc N National Choice Care, Inc O Occucomp P Preferred Health Network Prime Health Procura Qrs Management Progressive Medical, Inc R Rockport Health Group S Sentara Health Plans, Inc Safeway, Inc Select Next Plus Southern Health Services Sterling Life Insurances T The guardian Life Insurance Co. Three Rivers Provider Network, Inc Travelers Tricare Tyson Foods- National Comp U United Healthcare/ Optum Health Care Unival Universal Health Care Universal Smartcomp USA Managed Care US Department of Labor Locations In Northern Virginia Arlington County Army Navy 2445 Army Navy Drive, Suite 200 Arlington, VA 22206 P: 703.769.8442 Fax: 703.892.2143 Arlington Ballston 4601 N Fairfax Dr, Suite 100 Arlington, VA 22203 P: 703.841.0391 F:703.841.0397 Arlington South 611 S. Carlin Springs Rd. Suite 505 Arlington, VA 22204 P: 703.820.5840 F: 703.820.5842 Fairfax County Alexandria 6910 Richmond Highway, Suite 100 Alexandria, VA 22306 P: 703.765.7700 F: 703.765.7712 Alexandria/Edsall 5400 Shawnee Road, Suite 104 Alexandria, VA 22306 P: 703.256.4830 F: 703.256.0279 Alexandria/Hinson Farm 8101 Hinson Farm Rd. Suite 312 Alexandria, VA 22310 P: 703.769.8455 F:703.704.9093 Alexandria/Kingstowne 6166 Fuller Court Alexandria, VA 22310 P: 703.719.6908 F:703.313.0056 Annandale 3299 Woodburn Road, Suite 310 Annandale, VA 22003 P:703.849.8142 F: 703.849.0735 Burke 6035 Burke Centre Parkway , Suite 300 Burke, VA 22105 P:703.978.3300 F:703.978.6216 Burke 9409- K Old Burke Lake Road Burke, VA, 22015 P: 703.425.1800 F:703.425.1803 Chantilly- The fieldhouse 14810 Murdock St. Chantilly, VA 20151 P: 703.955.0235 F: 703.273.0157 Fairfax 4001 Fair Ridge Drive, suite 201 Fairfax, VA 22033 P:703.273.0093 F: 703.273.0157 Fairfax Station 9015 Silverbrook Rd. suites 103-104 Fairfax Station, VA 22039 P: 571.475.0003 F: 571.475.0004 Falls Church 5860 Columbia Pike, suite 104 Falls Church, VA 22041 P:571.461.5040 F: 571.461.5041 Herndon 150 Elden Street, suite 250 Herndon, VA 20170 P: 703.435.0090 F: 703.787.8402 Lorton Station 8986 Lorton Station Boulevard suite 202 Lorton, VA 22079 P: 571.380.4770 F: 571.380.4771 Mclean Curran 6733 Curran Street suite 100 Mclean, VA 22102 P: 703.448.0259 F: 703.448.0258 Mclean Elm 6862 Elm Street Suite 105 Mclean, VA 22101 P: 703.556.7788 F: 703.556.9750 Reston 12005 Sunrise Valley Drive Suite 110 Reston, VA 20191 P: 703.860.2391 F: 703.860.2657 Springfield 6850-B Versar Center Suite 241 Springfield, VA 22151 P: 703.256.3400 F: 703.658.4370 Vienna 601 Church Street North East Suite 105 Vienna, VA 22180 P: 703.938.8585 F: 703.938.8602 Frederick County Winchester 519 W. Jubal Early Dr. Suite 102 Winchester, VA 22601 P: 540. 665.0104 F: 540.665.1681 Loudon County Ashburn 21785 Filigree Court suite 300 Ashburn, VA 20147 P: 703.723.8800 F: 703.723.4143 Ashburn Hand therapy 20925 Professional Plaza, Suite 300 Ashburn, VA 20147 P:703.544.7171 F: 717.635.3227 Leesburg 540 Fort Evans Road, suite 206 Leesburg, VA 20176 P: 703.777.1026 F: 703.777.4341 Purcellville 17430 Pickwick Dr., Suite 120 Purcellville, VA 20132 P: 540.338.0685 F: 540.338.0687 Prince William County Gainesville 7508 Iron Bar Lane Gainesville, VA 20155 P: 571.486.2770 F: 571.486.5502 Manassas 7900 Sudley Road, suite 803 Manassas, VA 20109 P:703.366.3948 F: 703.366.3699 Woodbridge 14524 Potomac Mills Road Woodbridge, VA 22192 P: 703.490.6726 F: 703.494.2171 Spotsylvania Fredericksburg 4932 Southpoint Parkway Fredericksburg, VA 22407 P:540.891.1186 F: 0964

Explore our comprehensive guide on mobility aids and wound care products, including crutches, canes, walkers, and more. Learn about effective treatments for shoulder conditions like labral tears, arthritis, and frozen shoulder. Discover essential items such as gauze, hydrocolloid dressings, and vitamin E for optimal wound healing. Whether you need support for mobility or recovery, find the right solutions for your needs. DME Appointments Explore I'm a paragraph. Click here to add your own text and edit me. Let your users get to know you. Wrist Brace 가격 R$15.00 I'm a product 가격 R$20.00 I'm a product 가격 R$10.00 I'm a product 가격 R$25.00 I'm a product 가격 R$7.50 I'm a product 가격 R$15.00 I'm a product 가격 R$85.00 I'm a product 가격 R$40.00 I'm a product 가격 R$130.00 I'm a product 가격 R$45.00 I'm a product 일반가 R$100.00 할인가 R$95.00 I'm a product 가격 R$120.00

Next Journey Orthopaedics offers a comprehensive guide for workers' compensation adjusters to streamline the claims process for injured workers. Learn about essential documentation, appointment scheduling, and our specialized orthopedic care for various injuries. Contact us for assistance in facilitating timely and effective treatment Worker’s Compensation Injury: Next Journey's Quick Guide for Adjusters As a workers' compensation adjuster, ensuring injured workers receive proper care and managing their claims effectively is essential. Here’s a streamlined guide to help you facilitate this process for your claimants. At Next Journey Orthopaedics, we specialize in evaluating and treating a wide range of orthopedic issues. Our services cover fractures, sprains, strains, lacerations, tears, and repetitive stress injuries. We provide comprehensive care for injuries involving bones, joints, muscles, ligaments, tendons, arteries, and nerves. Contact Information: Next Journey Orthopaedics Frederick D. Scott, Jr. 8255 Greensboro Drive, Ste 150 McLean, VA 22102 Phone: 571-416-8244 Fax: 571-441-5201 Email: paperwork@nextjourneyortho.net Schedule Appointment Claimant has a Privia Account Have patient log into the Workers Compensation Appointments Make sure the Home button on left page is selected and on the right side select the Schedule Now button. Label Subject Heading: "New Worker's Compensation Visit:" Please include the name, position and best contact information for the patient and the adjuster Claimant does NOT have a Privia Account Have patient call 571-425-5393 Appointments Required Information for Patient’s Initial Visit: Insurance Information: Name of the insurance company managing the worker’s compensation case. Authorization Letter: A letter from the assigned adjuster authorizing medical treatment for Dr. Scott or Next Journey Orthopaedics, including: Claim Number Payer specific address (including P.O. Box) Employer name Employer address State of injury Date of injury Adjuster’s first and last name Adjuster’s email and phone number Injury location on the body Identification: A valid photo ID. Supporting Documents: Any additional documents that may be helpful to the provider. Claim Updates: Email: paperwork@nextjourneyortho.net Label Subject Heading: "Claim Update:" MMI Updates: Email: paperwork@nextjourneyortho.net Label Subject Heading: "MMI Status Re Update:" Resources Claim Form Injured Guide Virginia Worker's Compensation Glossary Injured Worker FAQ Virginia Worker’s Compensation Contact Information: Email: questions@workcomp.virginia.gov Phone: (877) 664-2566 Mailing Address: Virginia Workers’ Compensation Commission 333 East Franklin Street Richmond, VA 23219 By ensuring your patients have all the necessary information and documentation, you can help facilitate their treatment and the worker’s compensation claim process efficiently.

Fractures don’t have to be overwhelming. Learn about types, causes, symptoms, and treatments with compassionate, expert guidance to support your confident healing journey. Understanding Fractures Fractures can be a challenging and sometimes overwhelming experience, but understanding them can help you feel more confident about your journey to healing. Our goal is to provide clear, compassionate guidance to help you or your loved ones navigate this process with confidence and support. Definition and Types of Fractures A fracture, commonly known as a broken bone, occurs when the force applied to a bone is greater than it can withstand. Fractures can vary in severity and complexity, ranging from minor hairline cracks to complete breaks. Understanding the type of fracture you have is essential in determining the best course of treatment. The most common types of fractures include: Closed (Simple) Fracture: The bone breaks but does not pierce the skin. Open (Compound) Fracture: The bone breaks and protrudes through the skin, increasing the risk of infection. Displaced Fracture: The broken bone ends are out of alignment and may require surgery to reposition. Non-Displaced Fracture: The bone breaks but remains properly aligned. Stress Fracture: A small crack in the bone caused by repetitive stress, often seen in athletes. Greenstick Fracture: A partial fracture where the bone bends and cracks, more common in children. Comminuted Fracture: The bone shatters into multiple pieces, often requiring surgical intervention. Causes and Risk Factors Fractures can happen unexpectedly, and understanding the causes and risk factors can help prevent future injuries. Some of the most common causes include: Trauma or Injury: Falls, car accidents, or sports injuries can place excessive force on bones, leading to fractures. Overuse: Repetitive activities, such as running or jumping, can cause stress fractures over time. Osteoporosis: This condition weakens bones, making them more susceptible to fractures, especially in older adults. Nutritional Deficiencies: A lack of calcium and vitamin D can weaken bones and increase the likelihood of fractures. Medical Conditions: Certain conditions, such as cancer or diabetes, can weaken bones and make fractures more likely. Aging: As we age, our bones naturally become less dense and more fragile, increasing the risk of fractures. Symptoms and Diagnosis Recognizing the symptoms of a fracture early can lead to prompt treatment and better outcomes. Some of the most common signs include: Pain: Immediate and intense pain at the site of injury, which may worsen with movement. Swelling and Bruising: The injured area may become swollen, tender, and discolored. Deformity: In severe cases, the bone may appear out of place or misaligned. Limited Mobility: Difficulty moving the affected area or bearing weight. Numbness or Tingling: This can indicate nerve involvement and requires immediate medical attention. If you suspect a fracture, seeking medical care is crucial. Diagnosis typically involves: Physical Examination: A healthcare provider will assess the injury and check for signs of a fracture. X-rays: The most common imaging technique to confirm a fracture and determine its severity. CT Scan or MRI: In complex cases, these advanced imaging methods provide a more detailed view of the injury. At our practice, we understand that experiencing a fracture can be difficult. Our compassionate team is here to provide expert care and support every step of the way. Whether you're seeking information or treatment, we're dedicated to helping you get back to doing the things you love.

Schedule your surgery with confidence at Next Journey Orthopaedics. Our comprehensive guide covers pre-surgery consultations, instructions, and what to expect on the day of your procedure. Get tips for preparation, recovery, and follow-up care to ensure a smooth surgical experience. For surgeries, please click here Surgical Scheduling First name Last name Date of Birth 연도 월 일 Primary Phone Secondary Phone Best Email Side Body Part Multi choice Achilles Tendon Repair Ankle Fracture Repair Endoscopic Carpal Tunnel Release Cubital Tunnel Release DeQuervains/Radial Styloid Tendonitis Release Distal Radius Fracture Repair Dupuytrens Contracture Release Finger Amputation Finger Fracture Repair Foreign Body Removal Ganglion Cyst Excision Golfer Elbow Debridement Hand Tendon Repair Hardware Removal Mass/Lump/Bump Removal (Shoulder to Finger, Hip to Toes) Metacarpal Fracture Repair Nerve Repair Thumb Ligament Repair Total Knee Replacement Trigger Finger Release First Choice for Surgical Location Second Choice for Surgical Location Third Choice for Surgical Location Best Days/Times to Contact Other Submit I give permission to use this information for registration, scheduling or advancement of my medical care. I affirm that the information provided is accurate and complete. I understand that incomplete submissions or missing documents may delay my surgery scheduling.

Explore our comprehensive guide on mobility aids and wound care products, including crutches, canes, walkers, and more. Learn about effective treatments for shoulder conditions like labral tears, arthritis, and frozen shoulder. Discover essential items such as gauze, hydrocolloid dressings, and vitamin E for optimal wound healing. Whether you need support for mobility or recovery, find the right solutions for your needs. Miscellaneous Items Appointments Crutches and Canes 4- legged cane Example: Vive Quad Cane Cane Medline Cane Walker Drive Medical Walker Crutches The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Scooter This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Wound Care Adaptic Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Gauze Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Hydrocolloid dressings Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Medihoney The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Vitamin E This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Mederma This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Cast Care Accessories Cast Cover Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Mold Skin Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Cast Deoderizer Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Globes and Gadgets MOVA Globe Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Spinning Light Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Floating Light Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Sisyphus Table The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability.

"Next Journey Orthopaedics: Expert Shoulder Care for AC Joint Sprain, Arthritis, Deltoid Strain, Dislocation, Biceps Tendonitis, Frozen Shoulder, Labral Tear, Impingement Syndrome, Shoulder Instability, Proximal Humerus Fracture, Rotator Cuff Tear, and more. Personalized treatments include non-operative care, physical therapy, and advanced surgical options to ensure optimal recovery. Book your appointment today to regain shoulder mobility and comfort. Contact us at 571-425-5390." Upper Extremities Appointments Shoulder Acromio-clavicular Joint Sprain Acromioclavicular (AC) joint sprain presents with pain and swelling over the AC joint and pain with lifting the arm. Pain with cross-body adduction test strongly predicts this condition. Non-operative treatment includes rest, ice applications, and NSAIDs. Physical therapy focuses on range of motion and strengthening exercises, with the use of a sling for support. Symptoms typically improve within 2-6 weeks with conservative treatment. Surgery is considered for severe cases with significant displacement or persistent pain. Surgical indications include severe AC joint dislocation and persistent pain despite conservative treatment. Procedures such as AC joint reconstruction are performed. Recovery involves initial immobilization for 2-4 weeks and a gradual return to activities over 3-6 months. Success rates range from 80-90%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Arthritis Shoulder arthritis is characterized by pain and stiffness in the joint, often leading to reduced motion. Deep, aching pain, crepitus, and gradual loss of function are strongly predictive of this diagnosis. Non-operative treatments include NSAIDs, heat applications, and activity modification. Physical therapy aims to maintain range of motion and strength, with corticosteroid injections for pain relief. While conservative treatment can be effective for mild to moderate arthritis, surgery is considered if pain and disability persist. Surgical indications include severe pain unresponsive to conservative treatment and significant functional limitation. Shoulder arthroplasty (total or partial replacement) is common. Recovery involves a hospital stay of 1-2 days and full recovery within 6-12 months. Success rates are high, ranging from 85-95%, with complications including infection (<1-2%) and prosthetic loosening (5-10% over 10-15 years). Deltoid Strain Deltoid strain causes pain and tenderness in the shoulder, particularly over the deltoid muscle. Pain with resisted shoulder abduction strongly predicts this condition. Non-operative treatment includes rest, NSAIDs, and ice applications. Physical therapy focuses on stretching and strengthening the deltoid muscle. Symptoms typically improve within 2-4 weeks with conservative treatment. Surgery is rarely needed. Surgical indications include severe, persistent symptoms despite conservative treatment. Recovery involves 1-2 weeks initially, with a full return to activities within 4-6 weeks. Success rates are generally high with conservative treatment, with complications such as chronic pain (<5%) and re-injury (5-10%). Dislocation Shoulder dislocations usually refer to specifically the glenohumeral joint cause severe pain and deformity in the shoulder, often following trauma. A positive apprehension test strongly predicts this condition. Non-operative treatment includes reduction of the dislocation, immobilization in a sling, and NSAIDs. Physical therapy focuses on strengthening the shoulder muscles and preventing recurrence. Symptoms typically improve within 2-4 weeks with conservative treatment. Surgery is considered for recurrent dislocations or significant instability. Surgical indications include recurrent dislocations and persistent instability despite conservative treatment. Biceps Tendonitis Biceps tendonitis presents with pain in the front of the shoulder and tenderness over the biceps tendon, often exacerbated by resisted supination of the forearm. Non-operative treatment includes NSAIDs and ice applications. Physical therapy focuses on stretching, strengthening, and activity modification. Symptoms typically improve within 6-8 weeks, but surgery may be considered if persistent after 3-6 months. Surgical indications include persistent pain and significant functional impairment. Arthroscopic or open tenodesis or tenotomy are common procedures. Recovery involves 4-6 weeks initially, with a full return to activities within 3-4 months. Success rates are high, ranging from 85-95%, with complications such as stiffness (5-10%) and recurrent pain (<5%). Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by gradual onset of shoulder stiffness and pain, severely limiting mobility. Pain and stiffness in all directions of movement strongly predict this condition. Non-operative treatment includes NSAIDs, ice or heat applications, and physical therapy focusing on stretching and gentle mobilization. Corticosteroid injections may also be used. Symptoms usually improve within 6-12 months with conservative treatment. Surgery is considered if severe stiffness and pain persist after this period. Surgical indications include severe, persistent symptoms after 6-12 months of conservative treatment. Procedures such as manipulation under anesthesia or arthroscopic capsular release are performed. Recovery involves 2-4 weeks initially, with full return to activities within 3-6 months. Success rates range from 70-90%, with complications including re-stiffening (5-10%) and infection (<1%). Labral Tear Shoulder labral tears cause pain and instability in the shoulder, often with a clicking or locking sensation. A positive O'Brien's test strongly predicts this condition. Non-operative treatment includes rest, NSAIDs, and physical therapy focusing on strengthening the shoulder muscles. Symptoms typically improve within 6-12 weeks with conservative treatment. Surgery is considered for persistent pain or instability despite conservative treatment. Surgical indications include significant labral tears with persistent symptoms. Arthroscopic labral repair is the common procedure. Recovery involves initial immobilization for 3-4 weeks and a gradual return to activities over 3-6 months. Success rates range from 85-95%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Impingement Syndrome Shoulder impingement syndrome involves the compression of the rotator cuff tendons during shoulder movements, leading to pain and reduced motion. Symptoms include pain when lifting the arm, especially overhead, and night pain. A painful arc of motion and a positive Hawkins-Kennedy test are indicative of this condition. Treatment typically involves rest, NSAIDs, and ice. Physical therapy focuses on strengthening the rotator cuff and scapular muscles and improving flexibility. Symptoms often improve within 3-6 months with therapy; however, surgery may be necessary if conservative treatments fail after this period. Surgical indications include persistent pain and significant functional impairment despite 6 months of non-operative treatment. Arthroscopic subacromial decompression is a common procedure. The initial recovery period is 2-4 weeks, with a full return to activities within 3-6 months. The success rate is approximately 85-90%, with complications such as stiffness (5-10%) and infection (<1%). Instability of Shoulder Shoulder instability presents with a feeling of the shoulder slipping out of place, pain, and weakness. Positive apprehension and relocation tests strongly predict instability. Non-operative treatment focuses on activity modification, NSAIDs, and physical therapy to strengthen the rotator cuff and scapular stabilizers. Bracing may also be used. Symptoms often improve within 3-6 months, but surgery is considered for recurrent dislocations or persistent instability. Surgical indications include recurrent dislocations and persistent instability despite conservative treatment. Procedures such as arthroscopic or open stabilization are common. Recovery involves initial immobilization for 2-4 weeks and a gradual return to activities over 4-6 months. Success rates range from 85-95%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Proximal Humerus Fracture Proximal humerus fractures cause pain, swelling, and bruising in the shoulder, often following trauma. X-ray confirmation strongly predicts this diagnosis. Non-operative treatment includes immobilization in a sling, NSAIDs, and ice applications. Physical therapy focuses on gentle range of motion exercises initially, progressing to strengthening. Symptoms typically improve within 6-12 weeks with conservative treatment. Surgery is considered for significantly displaced fractures or fractures involving the joint surface. Surgical indications include displaced fractures and fractures with significant joint involvement. Procedures such as open reduction and internal fixation or shoulder replacement are performed. Recovery involves initial immobilization for 4-6 weeks and a gradual return to activities over 3-6 months. Success rates range from 80-90%, with complications including stiffness (10-20%) and hardware-related issues (5-10%). Rotator Cuff Tear Rotator cuff injuries are common and can include tears, tendonitis, and impingement. These injuries often result from repetitive overhead activities or acute trauma. Symptoms include pain when lifting or lowering the arm, shoulder weakness, and a crackling sensation with certain movements. Particularly, night pain, pain with overhead activities, and weakness on external rotation strongly predict rotator cuff tears. Non-operative treatment focuses on rest, NSAIDs, and ice applications. Physical therapy emphasizing strengthening and flexibility exercises is crucial, with corticosteroid injections for persistent pain. Improvement is typically expected within 6-12 weeks with consistent therapy, but surgery may be considered if significant pain or weakness persists. Surgical indications include persistent pain unresponsive to non-operative treatment for 6-12 months and large tears with significant functional impairment. Arthroscopic repair is common, with open repair for larger tears. The recovery timeline includes initial immobilization for 4-6 weeks and a gradual return to activities over 4-6 months. Success rates range from 80-95%, with common complications including stiffness and re-tear of the rotator cuff, occurring in 10-30% of cases. Shoulder Strain Shoulder strain causes pain and tenderness in the shoulder, often with swelling and limited range of motion. Pain with resisted shoulder movements strongly predicts this diagnosis. Non-operative treatment includes rest, NSAIDs, and ice applications. Physical therapy focuses on stretching and strengthening, with a gradual return to activities. Symptoms typically improve within 2-4 weeks with conservative treatment, and surgery is rarely needed. Surgical indications include severe, persistent symptoms despite conservative treatment. Recovery involves 1-2 weeks initially, with a full return to activities within 4-6 weeks. Success rates are generally high with conservative treatment, with complications such as chronic pain (<5%) and re-injury (5-10%). Humerus (Upper Arm) and Elbow Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Bursitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Dislocation Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow. Golfer's Elbow This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief. Humerus Fracture This condition occurs when the bone breaks. The bone needs time to heal. Olecranon Fracture This condition occurs when the one of the bones that make up the elbow breaks. Radial Head Fracture This condition occurs when the one of the bones that make up the elbow breaks. Tennis Elbow Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Forearm and Wrist Forearm Strains Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm. Forearm/Wrist Fracture Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury. Forearm/Wrist Tendonitis The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Use a a extended wrist brace for rest or pain relief. Wrist Strains Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement. Hand and Fingers Hand Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger. Hand Cramps Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes. Hand Fracture A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones). Hand Numbness This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness Hand Stiffness This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move. Hand Tendonitis This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with daily activities. Use thumb neoprene brace for pain relief. Hand Flexor Tendon Injury This is when the tendon gets cut or rupture. Symptoms include pain, weakness, limited range of motion, and difficulty with simple activities. Flexor tendon surgery. Trigger Finger Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.

Recover faster and stronger with Next Journey Orthopaedics. Uncover expert insights on bone healing stages, nutrition for recovery, and personalized care to regain your mobility. Healing Process Recovering from a fracture is a journey that requires patience, care, and the right support. At Next Journey Orthopaedics, we’re here to guide you every step of the way with expert insights and compassionate care. Understanding how your body heals can provide reassurance and help you take the necessary steps to support your recovery. Stages of Bone Healing Bone healing is a natural process that occurs in distinct stages, each playing a crucial role in restoring strength and function: Inflammation Phase (First Few Days): Immediately after a fracture, the body responds by sending blood to the injury site, forming a clot that protects the area and initiates healing. Soft Callus Formation (1-2 Weeks): Special cells called fibroblasts produce a soft callus made of collagen that bridges the broken bone ends, providing initial stability. Hard Callus Formation (4-6 Weeks): The soft callus gradually hardens as minerals like calcium and phosphorus are deposited, strengthening the bone. Bone Remodeling (Several Months to a Year): The bone continues to reshape and strengthen, gradually restoring its normal structure and function. Every stage is essential, and it's important to follow your treatment plan carefully to support your body's healing process. Factors Affecting Healing Several factors can influence how quickly and effectively your bone heals: Age: Younger individuals generally heal faster due to a more robust bone regeneration process. Overall Health: Conditions such as diabetes, osteoporosis, and poor circulation can slow healing. Nutrition: A balanced diet rich in essential vitamins and minerals supports the healing process. Activity Level: Following your doctor's recommendations for rest and gradual activity helps avoid complications. Smoking and Alcohol Use: These can impair blood flow and delay healing, so it's best to avoid them during your recovery. Taking a proactive approach by maintaining a healthy lifestyle can make a significant difference in your recovery. Diet to Help Bone Healing and Avoid Inflammation Nutrition plays a critical role in bone healing. Eating the right foods can help speed up recovery and reduce inflammation: Protein-Rich Foods: Lean meats, fish, beans, and nuts provide the building blocks your body needs to repair bone tissue. Leafy Greens: Spinach, kale, and broccoli are rich in vitamins and minerals essential for bone strength. Omega-3 Fatty Acids: Found in foods like salmon, walnuts, and flaxseeds, these can help reduce inflammation and promote healing. Anti-Inflammatory Foods: Turmeric, ginger, and berries contain antioxidants that help combat inflammation. Hydration: Staying well-hydrated supports overall cellular function and nutrient transport. Avoid processed foods, sugary drinks, and excessive caffeine, as they can contribute to inflammation and slow healing. Calcium and Vitamin D Recommendations Based on Age and Gender Calcium and Vitamin D are essential for bone health, and your needs change based on your age and gender: Children (Ages 4-8): 1,000 mg of calcium and 600 IU of vitamin D daily. Teens (Ages 9-18): 1,300 mg of calcium and 600 IU of vitamin D daily. Adults (Ages 19-50): 1,000 mg of calcium and 600 IU of vitamin D daily. Women Over 50 and Men Over 70: 1,200 mg of calcium and 800 IU of vitamin D daily. Good sources of calcium include dairy products, fortified plant milks, and leafy greens, while vitamin D can be obtained through sunlight, fatty fish, and supplements if necessary. Expected Recovery Timelines While every fracture is unique, general recovery timelines can provide an idea of what to expect: Small Bone Fractures (Fingers, Toes): 3-6 weeks Upper Limb Fractures (Arm, Wrist, Shoulder): 6-12 weeks Lower Limb Fractures (Leg, Ankle, Foot): 12-16 weeks Complex or Severe Fractures: Several months to a year Your personal healing journey may vary depending on the type of fracture, your overall health, and how well you follow your recovery plan. Our team is here to support you, answer your questions, and adjust your treatment as needed to ensure the best possible outcome. Remember, healing takes time, but with the right care and support, you can regain strength and get back to doing the things you love. If you have any questions or concerns about your recovery, don't hesitate to reach out to us. We're in this together!

Discover a comprehensive guide to shoulder, elbow, forearm, wrist, hand, and finger braces. Learn about various types of supports—including compression sleeves, immobilizers, and stabilizing braces—tailored for injuries, recovery, and improving comfort. Find the right solution for your needs today! Upper Extremities Braces Appointments Shoulder Shoulder Compression Sleeves Purpose: Provide mild support and compression to reduce swelling and improve blood flow. Uses: Minor shoulder injuries, mild arthritis, and general shoulder discomfort. Examples: Compression Sleeve Shoulder Immobilizers Purpose: Immobilize the shoulder to prevent movement and allow for healing. Uses: Post-surgery recovery, severe shoulder injuries, dislocations, and fractures. Examples: Sling Shoulder Stabilizing Braces Purpose: Provide moderate to high levels of support to stabilize the shoulder joint. Uses: Shoulder instability, rotator cuff injuries, labral tears, and shoulder subluxations. Examples: Stabilizer Brace Posture Correctors Purpose: Improve posture by pulling the shoulders back and aligning the spine. Uses: Poor posture, shoulder and upper back pain related to posture issues. Example: Posture Correctors Rotator Cuff Braces Purpose: Support the rotator cuff muscles and tendons, often with adjustable compression. Uses: Rotator cuff injuries, tendinitis, and post-surgery recovery. Example: Rotator Cuff Brace Shoulder Slings Purpose: Support the arm and limit shoulder movement. Uses: Post-surgery recovery, fractures, dislocations, and severe sprains. Examples: Sling Shoulder Abduction Braces Purpose: Hold the shoulder in an abducted (away from the body) position to relieve pressure on the rotator cuff or shoulder joint. Uses: Rotator cuff repairs, shoulder arthroscopy, and certain types of fractures. Examples: Shoulder Brace Humerus (Upper Arm) and Elbow Humeral Fracture Brace Purpose: Stabilizes and supports fractures of the humerus. Features: Adjustable straps, padded interior, and lightweight material. Examples: Sarmiento Humeral Fracture Brace Elbow Compression Sleeve Purpose: Provides mild compression and support. Uses: Minor sprains, strains, and tendonitis. Examples: Elbow Sleeve Elbow Immobilizer Purpose: Prevents elbow movement to allow healing. Uses: Post-surgery recovery, severe sprains, and fractures. Examples: Elbow Immobilizer , T-Scope Elbow Brace Tennis Elbow Brace Purpose: Provides targeted compression to the forearm muscles. Uses: Lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow). Examples: Tennis Elbow Brace , Tennis Elbow Support . Forearm and Wrist Forearm Support Brace Purpose: Provides support and reduces strain on forearm muscles and tendons. Uses: Forearm strain, tendinitis, and overuse injuries. Examples: Carpal Tunnel Brace Wrist Compression Sleeve Purpose: Provides mild support and compression. Uses: Minor sprains, strains, and arthritis. Examples: Wrist Support , Copper Compression Wrist Sleeve Wrist Splint Purpose: Stabilizes the wrist and limits movement. Uses: Carpal tunnel syndrome, wrist sprains, and post-surgery recovery. Examples: Wrist Brace . Hand and Fingers Comfort Cool Purpose: Immobilizes the thumb to reduce pain Uses: Thumb sprain, Arthritis Examples: Comfort Cool TKO/ Metacarpal Brace Purpose: used to support, protect, and immobilize the knuckles and fingers Uses: Metacarpal fractures Examples: Hely and Weber TKO , Metacarpal Brace Hand Compression Glove Purpose: Provides mild compression to reduce swelling and pain. Uses: Arthritis, mild sprains, and general hand discomfort. Examples: Arthritis Gloves . Hand Splint Purpose: Immobilizes the hand to allow healing. Uses: Severe sprains, fractures, and post-surgery recovery. Examples: Hand & Wrist Splint. Finger Splint Purpose: Immobilizes the finger to allow healing. Uses: Finger fractures, sprains, and dislocations. Examples: 3-Point Products Oval-8 Finger Splints , Mueller Reversible Thumb Stabilizer, Stack Splint

Discover patient-centric orthopedic care at Next Journey Orthopaedics. Our dedicated team focuses on delivering the optimal experience for each patient, ensuring personalized treatment plans and compassionate support. Let's work together to figure the best solutions for your musculoskeletal care." Top of Page Upper Extremity Lower Extremity Treatment Appointments Diagnoses Before surgery is recommended, the risk and benefits of alternative treatments is considered for each condition. Non operative and the least invasive measures like prevention, rest, heat, ice compression, therapy, NSAIDS, Tylenol, muscle relaxants, and pain alleviating devices are considered. Surgery is recommended when it offers a greater clinical outcome or there was a failure to resolve symptoms by other methods. Common Upper Extremity Surgical Procedures Arthroscopic Shoulder Decompression Small cameras and instruments are placed in your shoulder to perform minimally invasive surgery treat shoulder impingement that failed nonoperative treatment to relieve pain and restore function.. Arthroscopic Rotator Cuff Repair Small cameras and instruments are placed in your shoulder to perform minimally invasive surgery treat rotator cuff tears to relieve pain and restore function.. Shoulder Replacement For severe shoulder arthritis or injuries, we offer shoulder replacement surgery, helping you regain mobility and live pain-free Fracture Open Treatment Depending on the type of fracture, we will treat with either plates and screws or with replacement. Elbow Arthroscopy We use elbow arthroscopy to diagnose and treat joint problems with minimal incisions, leading to faster recovery times. Tennis/Golfers Elbow Treatment The tendon chronic scar tissue is removed so that new tissue can heal and alleviate pain and improve function. Endoscopic Carpal Tunnel Release Our carpal tunnel release procedures alleviate nerve pressure, reducing pain and numbness in the hand and fingers. Wrist Arthroscopy Wrist arthroscopy allows us to treat injuries and arthritis with minimal invasion, promoting quicker healing. Trigger Finger Release We provide effective trigger finger release treatments to restore smooth finger movement and eliminate discomfort. Hand Fracture Repair Depending on the type of fracture, we will treat with either plates and screws or with replacement. Trigger Finger Release We provide effective trigger finger release treatments to restore smooth finger movement and eliminate discomfort. Common Lower Extremity Surgical Procedures Achilles Tendon Repair Suture or screws with sutures attached to them are used to repair the tendon. Fracture Open Treatment Depending on the type of fracture, we will treat with either plates and screws or with replacement. Hip Replacement For severe hip arthritis or hip fractures, we offer replacement surgery, helping you regain mobility and live pain-free Knee Replacement For severe knee arthritis or injuries, we offer replacement surgery, helping you regain mobility and live pain-free Patella/Quadriceps Tendon Repair Suture or screws with sutures attached to them are used to repair the tendon. Tibia Nail A metal rod is inserted into the inside of the bone of the lower leg.